Score of Assawapalanggool et al for Predicting Organ Space Surgical Site Infection (SSI) Following Cesarean Section in Thailand

Description

Assawapalanggool et al reported a score for predicting organ space surgical site infection following a cesarean section. This can help to identify a patient who may benefit from more aggressive management. The authors are from Mae Sot Hospital and Chiang Mai University in Thailand.

Patient selection: cesarean section in Thailand

Parameters:

(1) foul-smelling amniotic fluid

(2) number of vaginal exams prior to cesarean delivery

(3) CDC wound class

(4) transferred from community hospital or refugee camp

(5) hemoglobin in g/dL

(6) ethnic background

Parameter	Finding	Points
foul-smelling amniotic fluid	no	0
	yes	4
number of vaginal exams	0 to 4	0
	>= 5	2
wound class	1 or 2	0
	>= 3 (contaminated or dirty)	2
transferred in	no	0
	yes	2
hemoglobin	>= 11.0 g/dL	1
	< 11.0 g/dL	1
ethnic background	Thai	0
	ethnic minority	1

total score =

= SUM(points for all 6 parameters)

Interpretation:

• minimum score: 0

• maximum score: 12

• The higher the score the greater the risk of an SSI.

Score	Risk
0 or 1	low
2 to 5	moderate
6 to 12	high

Performance:

• The area under the ROC curve is 0.86.

To read more or access our algorithms and calculators, please log in or register.

Score of Assawapalanggool et al for Predicting Organ Space Surgical Site Infection (SSI) Following Cesarean Section in Thailand

Description

Specialty